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  1. Fostering ethical conduct through psychological safety. | PSNet

    psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
    March 30, 2022 - Newspaper/Magazine Article Fostering ethical conduct through psychological safety. Citation Text: Fostering ethical conduct through psychological safety. Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43. Copy Citation Save Save to your lib…

  2. Defining technical errors in laparoscopic surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-technical-errors-laparoscopic-surgery-systematic-review
    September 11, 2013 - Review Defining technical errors in laparoscopic surgery: a systematic review. Citation Text: Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5. Copy Citation …

  3. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
    April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

  4. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

    psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

  5. At risk care plans: a way to reduce readmissions and adverse events. | PSNet

    psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
    October 27, 2010 - Commentary At risk care plans: a way to reduce readmissions and adverse events. Citation Text: Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. Copy Citation…

  6. Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. | PSNet

    psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
    May 18, 2022 - Commentary Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. Citation Text: Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003. Copy Cit…

  7. Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. | PSNet

    psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-prevention
    August 17, 2022 - Study Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. Citation Text: doi:http://doi.org/10.23750/abm.v92iS2.11507. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  8. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. | PSNet

    psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
    November 21, 2021 - Study Statewide identification of adverse events using retrospective nurse review: methods and outcomes. Citation Text: Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…

  9. What is the NHS Safety Thermometer? | PSNet

    psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet

    psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
    February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

  11. Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet

    psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
    February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…

  12. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
    January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Citation Text: Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual S…

  13. The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
    February 15, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. Citation Text: Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …

  14. The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
    January 14, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. Citation Text: Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b…

  15. One hospital's initiatives to encourage safe opioid use. | PSNet

    psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

  16. Improving patient safety in the ED waiting room. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-ed-waiting-room
    January 07, 2011 - Commentary Improving patient safety in the ED waiting room. Citation Text: Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5…

  17. Intolerance of error and culture of blame drive medical excess. | PSNet

    psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
    March 24, 2017 - Commentary Intolerance of error and culture of blame drive medical excess. Citation Text: Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702. Copy Citation Format: DOI Google Scholar BibTeX …

  18. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-paediatric-oral-liquid-medication-dosing-errors-caregivers-amoxicillin
    May 31, 2023 - Study Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. Citation Text: Berthe-Aucejo A, Girard D, Lorrot M, et al. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and …

  19. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet

    psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
    October 07, 2020 - Study How safety is compromised when hospital equipment is a poor fit for patients who are obese. Citation Text: Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4. Copy Cita…

  20. 2017 update on pediatric medical overuse: a review. | PSNet

    psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
    March 04, 2020 - Review 2017 update on pediatric medical overuse: a review. Citation Text: Coon ER, Young PC, Quinonez RA, et al. 2017 Update on Pediatric Medical Overuse. JAMA Pediatr. 2018;172(5). doi:10.1001/jamapediatrics.2017.5752. Copy Citation Format: DOI Google Scholar BibTeX EndNot…
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